Most Relevant Information
Provider Data
| NPI Number: | 1003695438 |
| Provider Name: | RAYMOND SAINT TAVAREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/25/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
784 HIGH ST
SAN LUIS OBISPO
CA
934015243
Practice Location Phone/Fax
| Phone: | 8055406500 |
| Fax: | 8055406501 |
Provider Mailing Location
PO BOX 15408
SAN LUIS OBISPO
CA
934065408
Provider Mailing Phone/Fax
| Phone: | 8055406500 |
| Fax: | 8055406501 |